Note : Les descriptions sont présentées dans la langue officielle dans laquelle elles ont été soumises.
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COMPOSITE MATERIAL BRAIDED INSULATOR
Background of the Invention
[0001] Ablation is often the recommended treatment for fibroids, tumors or
other
abnormal tissue masses. Local ablation of the diseased tissue may be carried
out by
inserting a therapeutic device into the tissue and carrying out therapeutic
activity
designed to treat the diseased cells. For example, tissue may be ablated by
placing
one or more electrodes into the affected tissue and discharging electric
current
therefrom. Various types of probes may be used to reach the target tissue and
deliver
electric energy thereto. One type of probe commonly used is the needle probe.
[0002] Needle probes are often used to carry out the RF ablation treatments
because
they are able to pierce the surfaces of many tissue masses and to penetrate to
an
optimal location within these masses for treatment. The needle probes may be
either
monopolar with a single polarity electrode on the probe and a second external
electrode
(e.g., a grounding pad) used to complete the circuit or bipolar with
electrodes of
opposite polarity mounted on the probe separated from one another by an
insulator.
[0003] The size of the RF ablation probes is generally kept to a minimum to
reduce
trauma and to facilitate accurate placement of the probe so that target tissue
may be
ablated with minimal damage to surrounding healthy tissue. The construction of
small
diameter ablation probes is difficult because, in use, these probes are
subjected to
compressive loads. In particular, it is difficult to construct small
insulating elements to
separate electrodes (e.g., in a bipolar device) which are able to withstand
the
compressive loads to which they will be subjected.
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Summarv of the Invention
[0004] The present invention is directed to an ablation probe, comprising a
distal
substantially tubular electrode in combination with a proximal substantially
tubular
electrode and a substantially tubular dielectric element, a proximal end of
the dielectric
element being bonded to a distal end of the proximal electrode and a distal
end of the
dielectric element being bonded to a proximal end of the distal electrode, the
dielectric
element being formed of a composite material including a fiber braid within a
polymeric
material.
Brief Description of the Drawings
[0005] Figure 1 is a perspective depiction of the RF ablation probe according
to an
embodiment of the present invention;
Figure 2 is a detail view of the structural insulator bonded to the metal
conductor of the RF ablation probe shown in Fig. 1; and
Figure 3 is a cross sectional view along line III-III of the structural
insulator
shown in Fig. 2.
Detailed Description
[0006] The present invention may be further understood with reference to the
following description and the appended drawings, wherein like elements are
referred to
with the same reference numerals. The present invention is related to medical
devices
for ablating abnormal tissues. More specifically, the invention is related to
devices for
ablating tissues such as tumors, fibroids and other abnormal growths using RF
energy.
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The invention is also related to devices adapted to treat tissue within hollow
organs or
body lumens of the patient.
[0007] A variety of ablation techniques have been employed to treat various
tumors,
fibroids and other abnormal tissue growths. Heat ablation, RF ablation and
chemical
ablation are a few of the techniques available to necrose abnormal tissues,
which may
then be surgically removed. These techniques are especially well suited for
growths
within hollow organs, such as the GI tract, the uterus, etc. In some cases, an
endoscope or similar instrument may be necessary to reach the target tissue.
In those
cases the ablation device is often sized to fit within a working lumen of the
endoscope.
[0008] As discussed above, size and durability constraints for bipolar RF
probes have
posed several challenges. For bipolar probes which are needle-like or
otherwise
include a hollow tubular member, wires or other conductors are often threaded
through
a lumen of the probe to connect each of the electrodes to a power source. In
particular,
the most distal electrode may require that a conductor pass through the more
proximal
electrode and an insulator separating the electrodes to connect with the power
supply.
Thus these insulators have often been formed as hollow tubular elements.
[0009] Ablation probes and, in particular, insulators of bipolar RF ablation
probes
must also be designed to support mechanical loads. For example, an RF ablation
probe may be used as a needle to penetrate target tissue and may need to pass
through other tissue in order to reach the target tissue. In some cases, the
probe must
be pushed through the working lumen of an endoscope or similar instrument
before
reaching the target tissue. Accordingly, the probe and its components are
preferably
formed with sufficient column strength to resist operative compressive and
bending
loads without buckling or other undesired deformation. Once such a bipolar
probe has
been positioned within or abutting target tissue, a high frequency alternating
current
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may be applied to the electrodes so that current flows from one electrode to
the other
through the target tissue to heat and, if enough energy is applied, to necrose
the tissue.
[0010] Figure 1 shows an exemplary embodiment of a bipolar ablation probe
according to the present invention. The probe 100 comprises a needle-like
elongated
body 102 which terminates in a sharp distal end 106. The sharp end 106 may be
used
to facilitate penetration of the probe 100 through tissue to reach desired
locations within
the body. Various configurations of the sharp distal end 106 may be used,
depending
on the desired use of the ablation probe 100 or a more blunt configurations
may be
used for applications which do not require penetration of puncture resistant
tissues. A
lumen 104 extends through the elongated body 102 to provide a passage through
the
probe 100. One skilled in the art would understand that the probe 100 may also
include
any of other known types of ablation electrodes including, for example,
electrodes
formed as a deployable array of tines which, during insertion and removal from
the
body, are received within a central lumen of the probe 100. In addition, the
central
lumen of the probe 100 may be used to receive guidewires and other medical
devices
which may be deployed or retracted therethrough to the target tissue. Figure 1
depicts
only the distal end of the probe 100, which is designed to contact the target
tissue to
deliver RF energy thereto. As would be understood by those skilled in the art,
the
probe 100 may also include a handle portion, electric contacts, an insulated
body and
electric controls.
[0011] A distal electrode 108 and a proximal electrode 112 form the energy
delivering
portion of the ablation probe 100. Each of the proximal and distal electrodes
108, 112,
respectively, is formed of an electrically conductive material which is also
biocompatible
and which possesses sufficient mechanical strength to resist buckling and
deformation
in normal use. For example, stainless steel or other metals may be used. As
the
ablation probe 100 is typically very thin, metal electrodes are preferred to
provide the
required structural strength. As the electrodes 108, 112 are of different
polarities, it is
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necessary to separate them with an insulator such as a dielectric element 110
to
prevent short circuits and to cause the current to flow from one electrode to
the other
through the target tissue. As would be understood by those skilled in the art,
the length
of the dielectric element 110 may be selected to obtain a desired performance
of the
probe 100.
[0012] As indicated above, the ablation probe 100 is preferably of low profile
and of
very small gauge, to minimize the trauma. As described above, in addition to
being a
structural member of the probe 100, the dielectric element 110 must also be
biocompatible and be bondable or otherwise attachable to the metallic cannulas
that
form the electrodes 108, 112. In the exemplary embodiment shown in Figure 3,
the
dielectric element 110 is formed as a substantially tubular shell with a wall
thickness t of
between about 0.004 and about 0.007 inches. The inner diameter of the
dielectric
element 110 according to this embodiment is approximately 0.05 inches and the
outer
diameter OD is approximately 0.06 inches.
[0013] According to an embodiment of the present invention, the tubular
dielectric
element 110 comprises a polymeric filler material 120 containing an
encapsulated fiber
braid 122. This construction results in a composite material of dielectric
strength
sufficient to insulate the electrodes 108, 112 from one another while
providing column
strength sufficient to resist buckling or bending under operative loads to
which the
probe 100 is to be subjected. For example, when subjected to compressive loads
of
3.5 to 4 pounds, the metal cannulas used to form the electrodes of a
dielectric element
constructed as described failed while the dielectric portions of the element
retained their
structural integrity. In one exemplary embodiment, the filler material is a
polyamide
material with a braid of Vectran fiber (Celanese Acetate LLC, Charlotte, North
Carolina).
The combination of polyamide and the Vectran fiber braid results in a
composite
material having the desired mechanical and insulation properties for use in
the
contemplated applications. Alternatively, the fiber braid 122 may comprise
braided
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fibers of metal or other electrically conductive material so long as these
fibers are fully
encapsulated in a dielectric material. One skilled in the art would understand
that the
polymeric filler material 120, may be replaced by any other non-conductive
material
suitable to insulate the electrodes including, for example, ceramics and
rubbers.
[0014] As described above, according to the present embodiment, the column
strength of the resulting composite material is comparable to that of the
metal cannulas
conventionally used to form the proximal and distal electrodes 108, 112. In an
exemplary embodiment, the metallic cannulas that form the electrodes 108, 112
have
an inner diameter between approximately 0.03 and 0.05 inches and an outer
diameter
of between 0.05 and 0.07 inches and, more preferably, has an inner diameter of
approximately 0.043 inches and an outer diameter of approximately 0.060
inches. The
composite material is thus well suited for use in a medical device such as the
RF
ablation probe 100, so that the elongated body 102 exhibits relatively uniform
mechanical properties along its length. The user thus may push the probe 100
through
the working lumen of the endoscope or through the biological tissue without
the
dielectric element 110 buckling or bending under the operative axial load
before the
failure of the metal components of the probe 100.
[0015] As shown in Figures 2 and 3, the fiber braid 122 may be formed of a
plurality
of bands of fibers 124 overlapping one another in a cris-cross pattern. As
would be
understood by those skilled in the art, the shape of the pattern as well and
the fiber
count per unit length may be modified to obtain a desired column strength of
the
dielectric element 110 or to facilitate manufacture of the component. The cost
and
expected use of the resulting probe 100 may also be considerations in
determining the
configuration of the fiber braid 122. According to the exemplary embodiment of
the
invention shown in Figs. 1-3, the composite material results in the dielectric
element
110 which is substantially rigid. However, for certain applications, it may be
desirable to
modify the polymeric material 120 and/or the fiber braid 122 such that the
resulting
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composite material will retain a degree of flexibility. For example, the
pattern and type
of fiber bands 124 may be modified to achieve selected mechanical properties.
The
material may thus retain a high column strength to resist compression, but may
be
bendable along its longitudinal axis. In a preferred embodiment, the fiber
braid 122 is
formed with a plurality of bands of fibers 124 arranged in a cris-cross
pattern at
approximately 60 PIC (cris-crosses per inch).
[0016] An additional feature of the dielectric element 110 is that it can be
securely
attached to the distal and proximal electrodes 108, 110. As shown in Fig. 2,
an
overlapping joint is formed between reduced diameter portions 130 of the
electrodes
112, 108 and overlap portions 132 of the dielectric element 110. The inner,
reduced
diameter portions of the overlapping joint are preferably formed from the
metal
electrodes 108, 112 rather than from the composite dielectric element 110,
since the
metal of which the electrodes 108, 112 are formed will generally exhibit
mechanical
properties at the reduced diameter superior to those of the composite
material.
However, depending on the mechanical properties of the composite material
forming
the dielectric element 110, an opposite configuration where the composite
material
forms the reduced diameter portion may also be used.
[0017] Multiple techniques may be used to bond the composite material of the
dielectric element 110 to the metallic electrodes 108, 112. For example, an
adhesive
may be placed at the interface of the reduced diameter sections 130 and the
overlap
portions 132, to securely bind the dielectric element 110 to the electrodes
108, 112.
Various known biocompatible adhesives such as Loctite (Henkel Loctite Corp. -
Industrial, Rocky Hill, Connecticut) may be used for this purpose. If the
composite
material forming the dielectric element 110 comprises a polyamide base polymer
with
Vectran fiber, Ultra-Violet (UV) bonding methods may also be used. The use of
polyamide with encapsulated Vectran together with the thin nature of the walls
of
dielectric element 110 produces a translucent dielectric element 110, through
which UV
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light may reach the interface between the two components. UV curing of the
adhesive
may thus be carried out to join the components as would be understood by those
skilled
in the art.
[0018] The present invention has been described with reference to specific
embodiments, and more specifically to the distal structural dielectric element
used to
separate the electrodes of a bipolar ablation probe. However, other
embodiments may
be devised that are applicable to other procedures and devices, without
departing from
the scope of the invention. Accordingly, various modifications and changes may
be
made to the embodiments, without departing from the broadest spirit and scope
of the
present invention as set forth in the claims that follow. The specification
and drawings
are accordingly to be regarded in an illustrative rather than restrictive
sense.
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